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Common CPT code Appointments Shoulder Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Biceps Tendonitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Labral Tear The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Instability of Shoulder This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Impingement Syndrome This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Use a sling for rest or pain relief. Rotator Cuff Tear This is a common shoulder injury involving damage to the muscles and tendons that stabilize the shoulder joint. Symptoms include shoulder pain, weakness, limited range of motion, and difficulty with overhead activities. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Humerus (Upper Arm) and Elbow Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Bursitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Dislocation Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow. Golfer's Elbow This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief. Humerus Fracture This condition occurs when the bone breaks. The bone needs time to heal. Olecranon Fracture This condition occurs when the one of the bones that make up the elbow breaks. Radial Head Fracture This condition occurs when the one of the bones that make up the elbow breaks. Tennis Elbow Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Forearm and Wrist Forearm Strains Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm. Forearm/Wrist Fracture Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury. Forearm/Wrist Tendonitis The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Use a a extended wrist brace for rest or pain relief. Wrist Strains Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement. Hand and Fingers Hand Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger. Hand Cramps Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes. Hand Fracture A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones). Hand Numbness This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness Hand Stiffness This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move. Hand Tendonitis This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with overhead activities. Use thumb neoprene brace for pain relief. Trigger Finger Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.

Discover 100+ orthopedic terms explained simply, from fractures and arthritis to advanced surgeries like arthroscopy and spinal fusion. A trusted resource for patients and professionals alike Glossary Terms Abduction – Movement of a limb away from the body’s midline. Adduction – Movement of a limb toward the body’s midline. Arthritis – Inflammation of the joints that can cause pain and stiffness. Arthrodesis – Surgical fusion of a joint to relieve pain and provide stability. Arthroscopy – A minimally invasive procedure using a camera to diagnose and treat joint problems. Avulsion Fracture – When a small piece of bone is pulled off by a tendon or ligament. Baker’s Cyst – A fluid-filled swelling behind the knee. Bone Density Scan – A test to measure bone strength and risk of fractures. Bone Grafting – A procedure that uses bone tissue to help repair severe fractures. Bone Marrow – The soft tissue inside bones that produces blood cells. Bone Scan – A diagnostic test to detect bone disorders or fractures. Bursa – A small fluid-filled sac that reduces friction between tissues. Bursitis – Inflammation of a bursa, often causing joint pain. Calcification – The buildup of calcium in soft tissues or bones. Callus Formation – The body’s natural process of forming new bone during healing. Cartilage – A flexible tissue that cushions joints and bones. Casting – Applying a rigid material to immobilize a fracture during healing. Closed Fracture – A break in the bone that does not puncture the skin. Closed Reduction – Non-surgical realignment of a broken bone. Clubfoot – A birth defect causing a foot to be twisted out of position. Compartment Syndrome – A condition causing pressure buildup in muscles. Corticosteroids – Medications used to reduce inflammation and pain. CT Scan (Computed Tomography) – A detailed imaging technique to view bones and tissues. Degenerative Disc Disease – Age-related changes causing spinal disc deterioration. Dislocation – When a bone moves out of its normal position in a joint. Dorsiflexion – Bending the foot upward toward the shin. Dupuytren’s Contracture – A hand condition causing fingers to bend inward. External Fixation – A treatment using an external frame to stabilize fractures. Femur – The thigh bone, the longest bone in the body. Fibula – The smaller of the two bones in the lower leg. Fracture – A break or crack in a bone. Frozen Shoulder – Stiffness and pain in the shoulder joint. Hallux Valgus – The medical term for bunions. Hemiarthroplasty – Partial joint replacement surgery. Herniated Disc – A condition where the soft center of a spinal disc pushes out. Hip Dysplasia – A condition where the hip joint is abnormally formed. Hyaline Cartilage – Smooth cartilage that covers the ends of bones. Impingement Syndrome – Shoulder pain due to repetitive overhead activities. Internal Fixation – A surgical procedure using plates or screws to hold bones together. Joint – The point where two or more bones meet. Joint Aspiration – Removing fluid from a joint for diagnosis or treatment. Kinesiology Tape – A tape used to support injured muscles and joints. Labrum – A ring of cartilage that supports and stabilizes joints. Lateral Collateral Ligament (LCL) – The ligament on the outer side of the knee. Ligaments – Strong bands of tissue connecting bones to each other. Limb Length Discrepancy – When one limb is shorter than the other. Malunion – Improper healing of a fractured bone. Medial Collateral Ligament (MCL) – A ligament in the knee that provides stability. Meniscus – A piece of cartilage in the knee that cushions and stabilizes. MRI (Magnetic Resonance Imaging) – Imaging to view soft tissues and bones. Nonunion – Failure of a fractured bone to heal properly. Osteoarthritis – The most common form of arthritis, caused by wear and tear. Osteoblasts – Cells that build new bone tissue. Osteoclasts – Cells that break down bone tissue. Osteomyelitis – A serious infection in the bone. Osteopenia – Low bone density that may lead to osteoporosis. Osteoporosis – A condition that weakens bones and makes them prone to fractures. Orthotics – Custom devices used to support and align feet. Patella – The kneecap, which protects the knee joint. Pelvic Fracture – A break in the bones of the pelvis. Plantar Fasciitis – Inflammation of the tissue on the bottom of the foot. Prosthesis – An artificial device to replace a missing body part. Pseudarthrosis – A false joint that forms when a bone does not heal properly. Radial Head Fracture – A fracture of the elbow joint. Radius – One of the two bones in the forearm. Rehabilitation – Exercises and therapies to restore function after an injury. Rheumatoid Arthritis – An autoimmune disease affecting joints. Rotator Cuff – A group of muscles and tendons stabilizing the shoulder. Sacroiliac Joint Dysfunction – Pain caused by improper movement in the sacroiliac joints. Scaphoid Fracture – A common wrist fracture. Sciatica – Pain radiating along the sciatic nerve from the lower back. Soft Tissue – Muscles, ligaments, and tendons supporting bones. Spinal Fusion – A surgical procedure to permanently join two or more vertebrae. Spinal Stenosis – Narrowing of spaces in the spine, causing nerve pressure. Sprain – Stretching or tearing of ligaments. Stress Fracture – A small crack in a bone caused by repetitive force. Subluxation – A partial dislocation of a joint. Synovitis – Inflammation of the synovial membrane in joints. Tendinitis – Inflammation of a tendon. Tendon – A tissue that connects muscle to bone. Tenotomy – Surgical cutting of a tendon. Tibia – The larger of the two bones in the lower leg. Total Joint Replacement – Surgery to replace a damaged joint with an artificial one. Traction – A treatment to realign bones using weights or pulleys. Trigger Finger – A condition where a finger gets stuck in a bent position. Ulna – The longer bone of the forearm. X-ray – A common imaging technique to view bones. Z-plasty – A surgical technique to improve the function of scarred skin.

Discover a range of lower extremity braces designed to support and stabilize injuries from the pelvis to the toes. Explore options including hip and knee braces, ankle supports, and specialized footwear for effective recovery from conditions like arthritis, tendonitis, sprains, and post-surgery needs. Whether you need a cam boot for fractures or a plantar fasciitis brace for foot pain, find the right solution to aid your healing and enhance mobility. Lower Extremity Braces Appointments Pelvis and Hip Neoprene Sleeve Purpose: To provide extra support and help ease pain. They're great for healing from hamstring injuries or protecting your muscles during activities. Use: Hamstring strain Example: Thigh Brace Hip Brace Purpose: To provide support, stability, and compression to the hip joint. Use: hip arthritis, hip dislocation, hip labral tear, hip bursitis, or hip tendonitis Example: Hip Brace Four Legged Cane Purpose: To provide support and stability when walking when there is a hip injury. Use: hip arthritis, hip dislocation, hip labral tear, hip bursitis, or hip tendonitis Example: Four Legged Cane, Four Legged Cane Tip SI Joint Belt Purpose: To provide stabilization and support to the sacroiliac joint, reducing pain and discomfort associated with SI joint dysfunction. Use: SI joint dysfunction, pelvic instability. Example: Serola Sacroiliac Belt Hip Flexor Brace Purpose: To provide support and stability to the hip flexor muscles, reducing strain and discomfort. Use: Hip flexor strain, hip flexor tendonitis. Example: Mueller Hip Flexor Brace Thigh and Knee Knee Hinge Brace Purpose: To provide support, stability, and protection to the knee joint, particularly after injury or surgery Use: Patellofemoral Syndrome, Arthritis, ALC injuries, MCL injuries, LCL injuries Example: Sparthos Knee Hinge Brace, Body Prox Knee Hinge Brace Knee Immobilizer Purpose: To restrict movement of the knee joint entirely or to a limited range to provide stability. Use: Patellar Dislocations, Meniscus Tears Example: Knee Immobilizer Knee T-Scope Brace Purpose: To provide postoperative support, stability, and controlled range of motion following knee surgery, particularly procedures involving ligament reconstruction or repair Use: Post-Operative Knee Surgery Example: Breg T-Scope Knee Brace J-Brace Purpose: To provide support and stability to the knee joint Use: Patellofemoral Syndrome Example: BraceAbility J-Brace Patella Strap Purpose: To alleviate pain and discomfort associated with patellar tendonitis or runner's knee by providing targeted compression to the patellar tendon. Use: Patellar tendonitis, runner's knee. Example: Cho-Pat Dual Action Patella Strap Knee Compression Sleeve Purpose: To support, stabilize, and provide pain relief for the knee joint Use: Arthritis, Iliotibial Band Syndrome, Patellar Tendonitis Example: Copper Knee Compression Sleeve IT Band Strap Purpose: To alleviate pain and friction along the iliotibial (IT) band, reducing symptoms of IT band syndrome. Use: IT band syndrome, runner's knee. Example: Mueller IT Band Strap Patellar Stabilizer Brace Purpose: To provide additional support and stability to the patella (kneecap), reducing patellar instability and improving knee function. Use: Patellar instability, chondromalacia patellae. Example: DonJoy Tru-Pull Lite Patella Stabilizing Knee Brace Leg and Ankle Short Cam Boot Purpose: To provide support and immobilization for foot and ankle injuries Use: Foot sprains, Ankle sprains, Foot fractures Example: United Short Cam Boot Tall Cam Boot Purpose: To offer support, stability, and immobilization for more severe foot and ankle injuries, typically extending higher up the leg Use: Ankle fracture, tibia fracture, post-op recovery Example: United Tall Cam Boot Ankle Lace Up Purpose: to provide support, stability, and compression to the ankle joint, helping to prevent or alleviate injuries such as sprains, strains, and instability Use: Ankle sprains, ankle instability Example: Sparthos Ankle Lace Up Fracture Boot Sock Purpose: To provide comfort, padding, and moisture-wicking properties while wearing a fracture boot Use: with short cam boot, tall cam boot, or ankle lace up Example: BraceAbility Cam Boot Sock Ankle Stirrup Brace Purpose: To provide rigid support and protection to the ankle joint, preventing excessive inversion or eversion movements. Use: Ankle sprains, ankle instability. Example: Aircast A60 Ankle Brace Ankle Support Socks Purpose: To provide compression and support to the ankle joint while also offering the benefits of a sock for comfort and moisture-wicking. Use: Ankle stability, prevention of ankle injuries. Example: McDavid Ankle Support Compression Socks Achilles Tendon Brace Purpose: To provide support and compression to the Achilles tendon, aiding in the treatment and prevention of Achilles tendonitis or Achilles tendon strains. Use: Achilles tendonitis, Achilles tendon strains. Example: Achilles Tendon Brace Foot and Toes Plantar Fasciitis Brace Purpose: reducing tension on the plantar fascia, the brace can alleviate pain, inflammation, and discomfort associated with plantar fasciitis Use: Plantar fascia Example: Plantar Fascitiis Brace Toe Gel Caps Purpose: to provide cushioning, protection, and support for toes Use: Corns, calluses, blisters, or ingrown toenails Example: Zentoes Toe Gel Cap Post-Op Shoe Purpose: Help to minimize movement of the foot or toes. Provides a cushioned and stable platform to reduce pressure on the affected area Use: post-operative surgery, foot fractures, soft tissue injuries Example: BraceAbility Post-Op Shoe Metatarsal Pads Purpose: To alleviate pressure and discomfort on the metatarsal heads, reducing pain associated with conditions such as metatarsalgia or Morton's neuroma. Use: Metatarsalgia, Morton's neuroma. Example: Dr. Frederick's Original Metatarsal Pads Bunion Splint Purpose: To alleviate pain and discomfort associated with bunions by gently realigning the big toe and reducing pressure on the affected area. Use: Bunion pain, bunion correction. Example: Bunion Corrector and Toe Straightener

Learn about the types of fractures, from closed and open to displaced and non-displaced, and how Next Journey Orthopaedics delivers compassionate, expert care tailored to your recovery. Discover treatment options for hip, wrist, ankle, spinal, and stress fractures with a focus on personalized healing, mobility restoration, and pain management. Let us support your journey to recovery. Types of Fractures At Next Journey Orthopaedics, we understand that experiencing a fracture can be overwhelming and challenging. Our goal is to provide you with clear, compassionate guidance to help you navigate your journey to recovery. Understanding the different types of fractures can empower you with the knowledge needed to make informed decisions about your care. Closed vs. Open Fractures Closed Fractures: A closed fracture occurs when the bone is broken but does not pierce the skin. While the injury may not be visible externally, it can still cause significant pain, swelling, and bruising. Prompt medical attention ensures proper alignment and healing, helping to prevent complications. Open Fractures: An open fracture, also known as a compound fracture, occurs when the broken bone punctures through the skin. This type of fracture carries a higher risk of infection and requires immediate medical intervention to clean the wound and stabilize the bone. Our team is here to provide expert care and support through every step of the healing process. Displaced vs. Non-Displaced Fractures Non-Displaced Fractures: In a non-displaced fracture, the bone cracks or breaks but remains aligned. These fractures often heal well with immobilization using a cast, splint, or brace. While the bone position may appear normal, it's crucial to follow medical advice to ensure optimal healing. Displaced Fractures: A displaced fracture means that the broken bone ends have moved out of alignment. These fractures may require more advanced treatment, such as realignment through casting, traction, or surgery. Our compassionate team will guide you through the treatment options best suited for your specific needs. Common Specific Fractures Hip Fractures Hip fractures are most commonly seen in older adults, often resulting from falls or weakened bones due to osteoporosis. Symptoms may include severe hip pain, difficulty bearing weight, and limited range of motion. Early treatment is essential to restore mobility and prevent complications. Wrist Fractures Wrist fractures, including distal radius fractures, are common injuries resulting from falls onto an outstretched hand. Symptoms include swelling, tenderness, and difficulty moving the wrist. Our team provides personalized care to ensure proper healing and return to daily activities. Ankle Fractures Ankle fractures can occur from twists, falls, or high-impact activities. Pain, swelling, and difficulty walking are common symptoms. Whether your treatment involves casting or surgery, we are committed to helping you regain stability and strength. Spinal Fractures Spinal fractures can range from minor compression fractures to more severe injuries affecting the vertebrae. These injuries may result from trauma, osteoporosis, or degenerative conditions. Our specialized approach focuses on pain management and restoring spinal health with compassionate care. Stress Fractures Stress fractures are tiny cracks in the bone caused by repetitive stress or overuse, commonly seen in athletes and active individuals. Symptoms often include localized pain that worsens with activity. Our team offers guidance on rest, rehabilitation, and prevention strategies to keep you moving safely. At Next Journey Orthopaedics, we are dedicated to providing comprehensive, patient-centered care tailored to your unique needs. Whether you're recovering from a minor stress fracture or a more complex injury, we're here to support you every step of the way with empathy and expertise. If you have any questions or concerns, please don't hesitate to reach out to our team.

Understand Next Journey Orthopaedics' financial policies, including credit card on file, insurance exemptions, pre-visit eligibility checks, and billing practices. Serving Northern Virginia, DC, and Maryland near Tysons Corner 2025 Financial Policy | Next Journey Orthopaedics Bill Pay Located near Tysons Corner in Fairfax County serving the Northern Virginia, DC, and Maryland area. We are a short walk and located near Tyson's Galleria & Silver Line Metro ✅ Key Features - Same-day billing support - HIPAA-compliant payments 💳 Credit Card Policy - Same-day billing support - VA state law compliance - HIPAA-compliant payments Accepted Cards 🛡️ Exemptions ( You don't need a card if you have ) - Medicaid - Worker's Comp - TRICARE - Medicare + Supplement 📞 *Call (571) 416-8244 to verify exemption status* Credit Card on File Policy To streamline the billing process and enhance patient convenience, we securely store your credit card information using our payment processor's platform. This card will be charged only after your insurance claim has been processed. You will receive an email notification detailing your financial responsibility, and you have 48 hours to review or dispute the charge before payment is processed. Your card may be charged for payments not collected at the time of service, no-show or late cancellation fees, unresolved insurance discrepancies after 90 days, and outstanding balances over 90 days. Patient Portal Credit Card on File Exemptions Certain patients are exempt from providing a credit card on file. These exemptions include individuals with active Medicaid, Worker’s Compensation, Student Insurance, Medicare along with a Medicare Supplement Policy, and TRICARE-related policies. Pre-Visit Eligibility and Financial Responsibility To prevent any issues related to eligibility and financial responsibility, we conduct eligibility checks at least 24 hours before your appointment. Our staff will proactively communicate with you to ensure you understand our payment policies and have clear expectations regarding the billing process. For Walk-Ins, we will perform the eligibility check before your visit. If there is a delay, please consider visiting local area sites like Tysons Corner Mall or The Boro while we resolve registration concerns. Patient Portal Upfront Authorization and Payment Information We collect authorization and payment information before providing services. This practice helps us ensure accurate billing and reduces the potential for confusion or delayed statements. Co-Pay Collection Before the Visit For a smoother experience, we encourage the collection of co-pays before your visit, while you are in the waiting room. This allows our staff to address any questions or concerns you might have about our payment policies on the spot. Patient Portal Efficient and Simplified Billing Statements We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. Empathetic Debt Collection Approach We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. Patient Portal If you have an active Privia patient portal, you have the option to pay online. Click the link below. You will be rerouted to a secure site where you will be asked to provide your account and credit card information. Please allow up to three business days for your payment to be posted to your Next Journey Orthopaedics account. Please email any questions to financial@nextjourneyortho.net Bill Pay

Total knee replacement treatment available. Walk-ins welcome at Next Journey Orthopaedics. Book now! Total Knee Arthroplasty - Get Back to Life! Welcome to your Knee Recovery Journey Understanding Knee Replacement Surgery Knee replacement surgery involves replacing damaged parts of the knee joint with artificial components to alleviate pain and restore function. This procedure is commonly recommended for individuals suffering from severe arthritis or significant knee injuries. Welcome to your recovery journey. We understand that undergoing knee replacement surgery is a significant step, and we're here to support you every step of the way. Our goal is to provide you with the information and resources you need to heal comfortably and confidently. Immediate Post-Surgery Expectations The First Few Weeks at Home As you transition home, it's important to follow your care plan diligently. Use assistive devices as recommended, and gradually increase your activity level. Attending all follow-up appointments ensures your recovery is on track After surgery, it's normal to experience some discomfort and swelling. Our medical team will work closely with you to manage pain effectively. You'll begin gentle movements soon after the procedure to promote healing and prevent stiffness. Physical Therapy and Rehabilitation Long-Term Recovery and Lifestyle Adjustments Recovery is a gradual process, and patience is key. Most patients return to their regular activities within a few months. Maintaining a healthy weight and staying active with low-impact exercises can prolong the benefits of your new knee. Engaging in physical therapy is crucial for regaining strength and mobility. Exercises such as supported knee bends and walking with assistance will be introduced to help you restore function. Your therapist will tailor a program to meet your specific needs. Protocols Phase 1: Immediate Post-operative Phase (Day 0 - Hospital Discharge) Goals: Control pain and swelling Protect healing tissue Begin restoring range of motion (ROM) Establish lower extremity muscle activation Restore independent functional mobility Precautions: Weight-bearing as tolerated (WBAT) with crutches or walker Monitor for signs of deep vein thrombosis (DVT) Recommended Exercises: Passive and active-assisted knee flexion and extension Heel slides Quad sets, glute sets, hamstring sets Straight leg raises (emphasizing no lag) Ankle pumps Functional Mobility: Bed mobility training Transfer training Gait training on level surfaces Stair training (if appropriate) Phase 2: Early Post-operative Phase (Hospital Discharge - 8 Weeks) Goals: Improve ROM (target: 0-110 degrees) Restore muscle strength, especially quadriceps Initiate proprioceptive training Normalize functional mobility Wean from assistive devices Precautions: Progress weight-bearing as tolerated Monitor wound healing and signs of infection Recommended Exercises: Continue Phase 1 exercises Heel slides with towel Prone knee flexion Stationary biking (starting with partial revolutions) Patellofemoral and tibiofemoral joint mobilizations Hamstring, gastrocnemius/soleus, and quadriceps stretching Closed chain exercises (mini-squats, step-ups) by end of phase Functional Mobility: Gait training emphasizing normal gait pattern Progress to cane, then no assistive device as appropriate Phase 3: Intermediate Phase (8-12 Weeks) Goals: Maximize knee ROM Restore normal lower extremity strength Return to baseline functional activities Precautions: Avoid high-impact activities Avoid activities requiring repeated pivoting/twisting Recommended Exercises: Continue previous exercises, increasing resistance Add resistance machines (leg press, hamstring curl, hip exercises) Single-leg stance and balance exercises Gentle agility exercises (tandem walk, side-stepping) Progress biking program, adding mild to moderate resistance Begin walking program Phase 4: Advanced Phase (12 Weeks and Beyond ) Goals: Continue improving strength and endurance Return to recreational activities as appropriate Precautions: Avoid high-impact and contact sports Avoid repetitive heavy lifting Recommended Exercises: Progress strengthening exercises Advance proprioceptive and balance training Increase intensity and duration of cardiovascular exercises Key Milestones: By 8 weeks: ROM should be 0-110 degrees By 12 weeks: Patients should be able to walk on uneven surfaces with minimal assistance Additional Recovery Tips: Apply ice after exercising to manage swelling. Follow your healthcare provider's advice before advancing activities. Individual progress may vary; always listen to your body. This protocol serves as a general guide, and individual progress may vary based on specific patient factors and surgical outcomes. Driving Left knee replacement: As early as 2-4 weeks if driving an automatic transmission and off narcotic pain medication Right knee replacement: Generally 6-8 weeks, depending on regaining reflexes and muscle strength Overall range: Most patients can resume driving between 2-8 weeks after surgery Light Sports (e.g., Golf) Hitting balls off a mat: Around 6 weeks post-surgery Full round of golf: Some patients may be able to play a full round, even without a cart, by the 3-6 months Exercising 0-4 weeks: Focus on gentle exercises to regain movement and prevent blood clots 4-12 weeks: Transition to moderate activities like walking and cycling 3-6 months: Begin low-impact activities such as swimming, cycling, and walking on flat surfaces 6-12 months: Start moderate-impact exercises like elliptical training, golfing, and light jogging 12+ months: High-impact activities are generally discouraged, but consult with your surgeon for personalized recommendations It's important to note that these timelines are general guidelines, and individual recovery can vary. Always consult with your healthcare provider before starting new activities or exercises after knee replacement surgery. Medications Celecoxib Aspirin 81 mg twice a day Steroids Neurontin Tylenol Frequently Asked Questions Contact Information Remember, you're not alone. If you have any questions or need additional support, please don't hesitate to contact our office at (571) 416-8244. We're here to assist you You might have questions about your recovery process. For instance, 'When can I drive again?' or 'How do I manage swelling?' Our FAQ section provides answers to these common concerns.

Lower Extremities Appointments Pelvis and Hip Joint Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Bursitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Fracture Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Hip Replacement The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Labral Tear This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Sacroiliac Joint Dysfunction This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Femur (Thigh Region) and Knee Joint Knee Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Thigh Strain Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Knee Bursitis Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Thigh Muscle Strain The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Patellar Tendinitis This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Meniscus Tear This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Leg (Tibia and fibula) and Ankle Joint Ankle fracture Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Ankle Sprain Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Achilles Tendonitis Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Calf Strain The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Foot and Toes Plantar Fasciitis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Ingrown Toenail Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Bunions Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Hammer Toe The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Morton's Neuroma This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Athlete's Foot This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Foot Cramps This is a common shoulder injury involving damage to the muscles and tendons that stabilize the shoulder joint. Symptoms include shoulder pain, weakness, limited range of motion, and difficulty with overhead activities. Toe Numbness Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Foot Swelling Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion

Explore common orthopedic conditions and injuries, including arthritis, bursitis, fasciitis, fractures, inflammation, sprains, strains, and tendonitis. Learn about their definitions, prevalence, and incidence rates to better understand these issues affecting millions of people. Whether you're seeking information for yourself or a loved one, this guide offers essential insights into orthopedic health and injury management. Conditions and Injuries Appointments Diagnoses Common Orthopaedic Terms Arthritis Definition: Arthritis is when your joints get swollen and hurt, making it hard to move around. It can happen to anyone, not just older people. Prevalence: Around 1 in 4 adults in the U.S. have arthritis, which is about 58 million people. Incidence: About 24% of adults in the U.S. are diagnosed with arthritis. Bursitis Definition: Bursitis is when the little cushions between your bones and muscles get inflamed, causing pain when you move. Prevalence: Bursitis is fairly common, especially in adults over 40. Incidence: Bursitis affects approximately 10 people per 100,000 annually. Fasciitis Definition: Fasciitis is when the thick tissue on the bottom of your foot gets swollen, making your heel hurt a lot, especially in the morning. Prevalence: Plantar fasciitis affects about 1 in 10 people at some point in their lives. Incidence: About 2 million people are treated for plantar fasciitis annually in the U.S. Fracture Definition: A fracture is a fancy word for a broken bone. It can happen if you fall or get hit really hard. Prevalence: Around 6.3 million fractures occur annually in the U.S. Incidence: About 2 million fractures due to osteoporosis occur annually in the U.S. Inflammation Definition: Inflammation is when a part of your body gets red, hot, and swollen because it's trying to heal from an injury or fight off germs. Prevalence: Inflammation is a common response in various conditions, affecting millions worldwide. Incidence: Millions of new cases of inflammation-related conditions are reported annually. Sprain Definition: A sprain happens when the stretchy bands that hold your bones together get stretched or torn. This can make your ankle, wrist, or knee hurt and swell up. Prevalence: Ankle sprains are very common, especially among athletes. Incidence: Ankle sprains alone affect about 2 million people annually in the U.S. Strain Definition: A strain is when your muscles or tendons get stretched too much or torn. It often happens from lifting something heavy or playing sports. Prevalence: Muscle strains are common, particularly among those who are physically active. Incidence: Millions of muscle strains are reported annually, especially among athletes and active individuals. Tendonitis Definition: Tendonitis is when the thick cords that connect your muscles to your bones get irritated and sore from being used too much. Prevalence: Tendonitis affects about 5% of adults at some point in their lives. Incidence: Tendonitis is particularly common in people who perform repetitive activities, with millions of cases diagnosed annually.

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Upper Extremities Exercises Appointments Shoulder Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Biceps Tendonitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Frozen Shoulder (Adhesive Capsulitis) Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Labral Tear The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Instability of Shoulder This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Impingement Syndrome This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Use a sling for rest or pain relief. Rotator Cuff Tear This is a common shoulder injury involving damage to the muscles and tendons that stabilize the shoulder joint. Symptoms include shoulder pain, weakness, limited range of motion, and difficulty with overhead activities. Tendonitis Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Humerus (Upper Arm) and Elbow Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Bursitis Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Dislocation Elbow dislocation is when the joint becomes unhinged and is characterized by joint stiffness and instability often resulting from inflammation and tightening of the elbow. Golfer's Elbow This condition involves repetitive use or trauma that injures the inside of the elbow where the origin of the muscles that control the wrist start. Use a golfers elbow brace for rest or pain relief. Humerus Fracture This condition occurs when the bone breaks. The bone needs time to heal. Olecranon Fracture This condition occurs when the one of the bones that make up the elbow breaks. Radial Head Fracture This condition occurs when the one of the bones that make up the elbow breaks. Tennis Elbow Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion Forearm and Wrist Forearm Strains Forearm strain refers to an injury to the muscles or tendons in the forearm, typically caused by overstretching, overuse, or sudden force. This condition can lead to pain, swelling, and reduced function in the forearm. Forearm/Wrist Fracture Wrist and forearm tendonitis refers to the inflammation or irritation of the tendons in these areas. Tendons are the fibrous tissues that connect muscles to bones, and inflammation can cause pain, swelling, and difficulty moving the affected area. Tendonitis in the wrist and forearm is often caused by repetitive strain, overuse, or injury. Forearm/Wrist Tendonitis The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Use a a extended wrist brace for rest or pain relief. Wrist Strains Wrist strain refers to an injury to the muscles or tendons surrounding the wrist. It typically occurs when these tissues are overstretched or torn due to excessive force, repetitive movements, or sudden impacts. Wrist strain can result in pain, swelling, and limited wrist movement. Hand and Fingers Hand Arthritis Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Carpal Tunnel Syndrome Carpal tunnel syndrome (CTS) is a medical condition resulting from the compression of the median nerve as it travels through the carpal tunnel, a narrow passageway on the palm side of the wrist. This nerve controls sensation and movement in parts of the hand, including the thumb, index finger, middle finger, and part of the ring finger. Hand Cramps Hand cramps are involuntary muscle contractions or spasms in the muscles of the hand, causing pain, stiffness, and temporary loss of function. These cramps can affect any part of the hand, including the fingers, palm, and the base of the hand. They can be sudden and intense, and their duration can vary from a few seconds to several minutes. Hand Fracture A hand fracture refers to a break or crack in one or more of the bones in the hand. The human hand consists of 27 bones, including the phalanges (finger bones), metacarpal bones (bones of the hand), and the carpal bones (wrist bones). Hand Numbness This condition refers to a loss of sensation or feeling in the hand or fingers. It can be accompanied by tingling, a "pins and needles" sensation, or a feeling of weakness Hand Stiffness This condition occurs when the is a lack of function or movement in the hand. The hand feels rigid, inflexible, or difficult to move. Hand Tendonitis This is inflammation of the tendon in the hand. Symptoms include pain, weakness, limited range of motion, and difficulty with daily activities. Use thumb neoprene brace for pain relief. Hand Flexor Tendon Injury This is when the tendon gets cut or rupture. Symptoms include pain, weakness, limited range of motion, and difficulty with simple activities. Flexor tendon surgery. Trigger Finger Tendonitis, or tendinitis, involves inflammation or irritation of a tendon, typically due to overuse or repetitive motion. Use finger splint or finger sleeve for pain relief.

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Rebuild strength, mobility, and confidence after a fracture with Next Journey Orthopaedics. Our expert physical therapy and personalized recovery plans ensure a faster, smoother healing journey. Experience compassionate care tailored to your needs—every step matters. Rehabilitation and Recovery: Your Path to Healing After a Fracture Recovering from a fracture is more than just waiting for the bone to heal; it’s about regaining strength, mobility, and confidence in your body. At Next Journey Orthopaedics, we understand that every patient’s journey is unique, and we’re here to support you with expert care, warmth, and empathy every step of the way. The Importance of Physical Therapy Physical therapy is a vital part of your recovery process. After a fracture, your muscles may become stiff, and your joints may feel weak from lack of use. Physical therapy helps restore movement, improve flexibility, and rebuild strength so that you can return to your daily activities with confidence. Our compassionate physical therapists will work closely with you to create a personalized rehabilitation plan that aligns with your goals and comfort level. They will guide you through gentle, progressive exercises and provide encouragement to help you stay motivated throughout your recovery. Benefits of Physical Therapy: Reduces stiffness and improves flexibility Strengthens muscles to support the healing bone Enhances balance and coordination to prevent future injuries Relieves pain and swelling through targeted exercises and manual therapy Restores function, allowing you to regain independence Exercises to Restore Function Recovering from a fracture often requires a gradual return to movement. Our team will introduce safe and effective exercises to help you regain strength and mobility at a comfortable pace. Examples of Exercises You May Perform: Range of Motion Exercises: Gentle stretches to help regain movement in the affected area Focused movements to prevent stiffness and muscle shortening Strength-Building Exercises: Light resistance training to rebuild muscle strength and endurance Progressive weight-bearing activities to gradually reintroduce stress to the bone Balance and Coordination Drills: Simple balance exercises to restore stability and prevent falls Functional movements to improve coordination and confidence in everyday tasks We understand that each patient's comfort level is different, and our team will adjust the exercises to ensure they are both effective and safe for you. Lifestyle Modifications for a Smooth Recovery Healing from a fracture requires not only physical care but also adjustments to your daily routine to support your recovery. Small changes can make a big difference in helping you heal efficiently and prevent future injuries. Helpful Lifestyle Tips: Nutrition for Bone Health: Eat a balanced diet rich in calcium, vitamin D, and protein to promote strong bones. Hydration: Staying well-hydrated supports overall health and healing. Rest and Sleep: Ensure you get adequate rest to allow your body to repair and rebuild. Mindful Movement: Avoid overexertion and listen to your body to prevent setbacks. Assistive Devices: Use walking aids or braces as recommended to ease strain and ensure proper healing. At Next Journey Orthopaedics, we believe that recovery is a team effort. Our caring and dedicated staff are here to empower you with the knowledge and support you need to take each step forward confidently. Whether you're taking your first steps after an injury or working towards full mobility, we are with you on this journey to better health. Let us guide you through your rehabilitation with expertise and compassion—because every step matters.